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  • 1.
    Gullacksen, Ann-Christine
    et al.
    Lunds universitet, Socialhögskolan.
    Melin Emilsson, Ulla
    Lunds universitet, Socialhögskolan.
    Det sociala arbetet inom hälso-och sjukvård.: Intervju med U. Fredlund.1997In: Socialhögskolan i Lund 50 år. : En jubileumsskrift 1947-1997. / [ed] Edebalk, P.G., Farm, I. & Swärd, H, Lund: Lunds universitet , 1997Chapter in book (Other (popular science, discussion, etc.))
  • 2.
    Karlsson, Staffan
    et al.
    Lunds universitet, medicinska fakulteten.
    Meyer, Gabriele
    Fakultät für Medi, Institut für Pflegewissenschaftzin, WittenHerdecke gGmbH, Germany.
    Melin Emilsson, Ulla
    Lunds universitet, Socialhögskolan.
    Rahm Hallberg, Ingalill
    Lunds universitet, medicinska fakulteten.
    European health and social care and welfare systems for persons with dementia.: Facing Dementia Together2010Conference paper (Refereed)
  • 3.
    Lethin, Connie
    et al.
    Lunds universitet.
    Rahm Hallberg, Ingalill
    Lunds universitet.
    Melin Emillsson, Ulla
    Lunds universitet, Socialhögskolan.
    Karlsson, Staffan
    Lunds universitet.
    Support to informal caregivers caring for older people with dementia.: A European perspective2011Report (Other academic)
  • 4.
    Melin Emilsson, Ulla
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Social Work.
    A Supervisão como Metodo de Pesquisa em Servico Social: Projecto sobre Idosos e Doenca Mental na Suecia2001In: Interacçoes, 1, Outubro 2001, 50-64., Vol. Outubro, no 1, p. 50-64Article in journal (Refereed)
  • 5.
    Melin Emilsson, Ulla
    Lunds universitet, Socialhögskolan.
    Comparative examples of long term care for older people in France, Portugal, and Sweden2009Conference paper (Refereed)
  • 6.
    Melin Emilsson, Ulla
    Lunds universitet, Socialhögskolan.
    Demens: det normala på äldreboende?2007In: Normer och normalitet i socialt arbete / [ed] Svensson, Kerstin, Lund: Studentlitteratur, 2007, p. 275-287Chapter in book (Other academic)
  • 7.
    Melin Emilsson, Ulla
    Lunds universitet, Socialhögskolan.
    Den blå klänningen: Om privat och offentligt i gruppboenden för dementa.2004In: Omsorgens skiftningar : Begreppet, vardagen, politiken, forskningen / [ed] Rosmari Eliasson, Lund: Studentlitteratur, 2004, p. 90-102Chapter in book (Other academic)
  • 8.
    Melin Emilsson, Ulla
    Lunds universitet, Socialhögskolan.
    Gammal och dement i Europa2006In: Forskning o Resultat - med stöd av FAS, ISSN 1651-8578, no 2Article in journal (Other academic)
  • 9.
    Melin Emilsson, Ulla
    Lunds universitet, Socialhögskolan.
    Gammal och dement i Sverige, Portugal och Frankrike -  en komparativ studie av socialpolitiska mål och implementering i tre kulturer: En slutrapport2006Report (Other academic)
  • 10.
    Melin Emilsson, Ulla
    Lunds universitet, Socialhögskolan.
    Gruppboende för dementa :: en omsorgsform eller ett begrepp i försvinnande?.2004In: Socialvetenskaplig tidskrift, ISSN 1104-1420, Vol. 11, no 3-4, p. 252-274Article in journal (Refereed)
  • 11.
    Melin Emilsson, Ulla
    Lunds universitet.
    Gruppboende  Social Forskning, (4).: - en vardag i olika världar1999In: Social ForskningArticle in journal (Other academic)
  • 12.
    Melin Emilsson, Ulla
    Lunds universitet, Socialhögskolan.
    Handledning och lärande :  i äldreomsorgens vardag.2004Book (Other academic)
  • 13.
    Melin Emilsson, Ulla
    Lunds universitet, Socialhögskolan.
    Handledning och lärande i äldreomsorgens vardag: ett utvecklingsprojekt2004In: Aktuellt om vetenskap och hälsa: Det goda åldrandet / [ed] Jan Nilsson, 2004Conference paper (Other academic)
  • 14.
    Melin Emilsson, Ulla
    Lunds universitet, Socialhögskolan.
    Handledning som utbildning och stöd för personal i arbete med äldre demenssjuka : ett utvecklingsprojekt 2004Report (Other academic)
  • 15.
    Melin Emilsson, Ulla
    Lund University.
    Health care, social care or both?: A qualitative explorative study of different focuses in long-term care of older people in France, Portugal and Sweden2009In: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664, Vol. 12, no 4, p. 419-434Article in journal (Refereed)
    Abstract [en]

    Challenges with an ageing population are increasingly becoming a reality in the Western world. Since cognitive impairment increases with age, we can expect an increasing number of older people in need of care. The aim of this article is to describe, analyse and compare different focuses on care of older people with dementia, using examples from France, Portugal and Sweden. The questions are principally focused on the participants’ view about their tasks, the organisation of work, the professional role and cooperation with other professions. Everyday care was studied through observations and participant observations and the staff's opinion was explored by means of interviews. Twenty-two care settings for older people were included. The findings showed that France provided mainly ‘health care’, Sweden ‘social care’ and Portugal an integrated ‘health care and social care’. In a comparative perspective the Portuguese general care of older people, which focuses on integration of health care, social care and social work, also seems to provide care for older people suffering from dementia which best corresponds to the previously developed group living model.

  • 16.
    Melin Emilsson, Ulla
    Lunds universitet, Socialhögskolan.
    Identity and Relationships: On Understanding Social Work with Older People Suffering from Dementia2008In: Journal of Social Work Practice, ISSN 0265-0533, E-ISSN 1465-3885, Vol. 22, no 3, p. 317-328Article in journal (Refereed)
    Abstract [en]

    Many countries in the Western world are facing great challenges posed by an ageing population. Since cognitive impairments and the prevalence of dementia increases with age, we can expect an increasing number of older people in need of care. However, severe problems with such care are already reported by researchers as well as in the mass media. The aim of this paper is to discuss how the identity confusion among older people suffering from dementia might influence relationships and the staff's behaviour, and in that sense, be part of the care problems reported. Three studies carried out between 1993 and 2003 are introduced aimed at illustrating the severe care problems identified. The interaction between the residents and the staff is focused on and discussed from a psychodynamic viewpoint. Data show that the caregivers also become confused and express a need of affirmation comparable with that of the older people suffering from dementia. That is, even the caregivers' behaviour seems to be influenced by an identity‐preserving ambition similar to the one of the dementia sufferers, and this might explain some of the problems in this form of care.

  • 17.
    Melin Emilsson, Ulla
    Lund universitet, Socialhögskolan.
    Keep moving: Improving the mobility of older people.: An example of research collaboration in Europe.2009In: The Swedish Japanese research network conference at Kwansei Gakuin University, Osaka, Japan, 31st of March 2009 / [ed] Professor Els-Marie Anbäcken, 2009Conference paper (Refereed)
  • 18.
    Melin Emilsson, Ulla
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Social Work. Lunds universtiet, Socialhögskolan.
    Looking after our elderly: European based research into the care of older people 20 years, 9 projects in 10 countries2012In: Public Service Review: Europe, ISSN 2050-148X, Vol. 24, p. 154-155Article, review/survey (Other academic)
  • 19.
    Melin Emilsson, Ulla
    Lunds universitet, Socialhögskolan.
    Med fokus på handledningsrelationen: om möten, perspektiv och tillit i forskarutbildningen2004In: En kompanjonbok till Forskningsetik och perspektivval : femton texter till Rosmari Eliasson-Lappalainen / [ed] Håkan Jönson, Lund: Studentlitteratur, 2004, p. 153-161Chapter in book (Other academic)
  • 20.
    Melin Emilsson, Ulla
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Social Work. School of Social Work, Lund Unviersity.
    On Developing Supervision As Pedagogy and Support in Post-graduate Education2004In: UK Council for Graduate Education, Newsletter, Vol. 47, p. 2-3Article in journal (Other academic)
  • 21.
    Melin Emilsson, Ulla
    Lunds universitet, Socialhögskolan.
    Recognizing But Not Acknowledging: On Using Research Information in Social Work with Elderly People Suffering from Dementia2005In: British Journal of Social Work, ISSN 0045-3102, E-ISSN 1468-263X, Vol. 35, no 8, p. 1393-1409Article in journal (Refereed)
    Abstract [en]

    The gap between theory and practice in social work continues to be great, and research results seem to live a life of their own, far from the field they were intended to improve. This article considers research information as a useful contribution to the practice of social work with elderly demented people and to qualitative methods used in the area of social scientific research. Arising out of a project aimed at studying the usefulness of research information through an interactive exercise within focus groups, the author discusses how the results of research can be used to improve practice. When the researchers’ theoretical- oriented perspectives meet with the practitioners’ action-oriented perspectives, two different models enrich each other in the process of developing integrated knowledge.

  • 22.
    Melin Emilsson, Ulla
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Social Work. Lund University, School of Social Work.
    Socialt arbete, counselling och psykoterapi2010In: Counselling:: stödsamtal i socialt arbete / [ed] Larsson, Sam & Trygged Sven, Stockholm: Gothia Förlag AB, 2010Chapter in book (Other academic)
  • 23.
    Melin Emilsson, Ulla
    Linnaeus University, Faculty of Social Sciences, Department of Social Work. Lund University.
    Socialt arbete och sjuka äldre2014In: Socialt arbete i hälso- och sjukvård : villkor, innehåll och utmaningar / [ed] Blom, B., Lalos, A., Morén, S. & Olsson, M mfl, Stockholm: Natur och kultur, 2014, p. 201-215Chapter in book (Other academic)
  • 24.
    Melin Emilsson, Ulla
    Lunds universitet, Socialhögskolan.
    Supervision as Pedagogy and Support in the Swedish Eldercare : ,: A Developmental Project.2006In: Journal of gerontological social work, ISSN 0163-4372, E-ISSN 1540-4048, no 3-4, p. 83-102Article in journal (Refereed)
  • 25.
    Melin Emilsson, Ulla
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Social Work. School of Social Work, Lund University.
    Supervision as Pedagogy and Support in the Swedish Eldercare: A Developmental Project2006In: Journal of gerontological social work, ISSN 0163-4372, E-ISSN 1540-4048, Vol. 47, no 3-4, p. 83-102Article in journal (Refereed)
    Abstract [en]

    The number of elderly people is gradually increasing, and with it the number of persons receiving some kind of care in their everyday lives. However, researchers and the mass media recurrently report great difficulties for many caregivers in their work situations. This article considers process-oriented supervision as a pedagogic method for training and support of nurse aids and managers in Swedish eldercare. With reference to a developmental project, the author discusses the clash between the supervisor's process-oriented manner and the staffs' problem-oriented attitudes. This shows that supervision in this form may not necessarily be an effective way of reforming care. Instead the caregivers point out organisational changes and better leadership as more adequate methods.

  • 26.
    Melin Emilsson, Ulla
    Lunds universitet, Socialhögskolan.
    Supervision of supervisors :  on developing supervision as pedagogy and support in Post-graduate education2001Report (Other academic)
  • 27.
    Melin Emilsson, Ulla
    Lund University, School of Social Work.
    The Role of Social Work in Cross-Professional Teamwork: Examples from an Older Peoples Team in England.2012In: British Journal of Social Work, ISSN 0045-3102, E-ISSN 1468-263X, Vol. 43, no 1, p. 116-134Article in journal (Refereed)
  • 28.
    Melin Emilsson, Ulla
    Lund University, School of Social Work.
    The Staff’s View on Dementia and the Care in three Cultures: A Qualitative Study in France, Portugal and Sweden.2012In: Dementia, ISSN 1471-3012, E-ISSN 1741-2684, Vol. 11, no 1, p. 31-47Article in journal (Refereed)
    Abstract [en]

    This article discusses the staff's view on dementia and its impact on the care delivered arising outof a qualitative comparative study focusing on long-term care of older people in France, Portugaland Sweden. The aim was to explore the staff's view on the illness dementia; on older peoplesuffering from dementia; the care provided and the impact of various views on the care. The carewas studied through observations at 22 care settings in the three countries and the staff'sattitudes were explored by means of interviews with 79 people. A relation-orientedphenomenological approach was used. Great differences appeared regarding the various staffgroups' views. The findings also indicated that the staff's view; the cultural context and theorganizational environment might have an impact on the care provided. However the impact ofprofessional affiliation and the way of collaborating seemed to be of greater significance than othersimilarities or differences. An interdisciplinary based starting point, with close collaborationbetween medical based health care and social care of older people suffering from dementia inintegrative care models, is therefore of vital importance.

  • 29.
    Melin Emilsson, Ulla
    Lunds universitet, Socialhögskolan.
    Vardag i olika världar: : om dementa och vårdbiträden på tre gruppboenden.1998Doctoral thesis, monograph (Other academic)
  • 30.
    Melin Emilsson, Ulla
    Lunds universitet, Socialhögskolan.
    Vårdbiträde inom äldreomsorgen :: offer eller kompetent specialist?2002In: Äldre i centrum : tidskrift för aktuell äldreforskning, Vol. 16, no 2, p. 19-21Article in journal (Refereed)
  • 31.
    Melin Emilsson, Ulla
    et al.
    Lund University.
    Johnsson, Eva
    Lund University.
    Supervision of supervisors: on developing supervision in postgraduate education2007In: Higher Education Research and Development, ISSN 0729-4360, E-ISSN 1469-8366, Vol. 26, no 2, p. 163-179Article in journal (Refereed)
    Abstract [en]

    During the 1900s, the path to a PhD degree has seen many changes for both postgraduate students as well as their supervisors. The supervisor's duties have increased in scope and the demands made on PhD candidates have augmented. This paper deals with supervision as pedagogic method. Departing from a project aimed at studying ‘supervision on supervision’ through a programme including a special pedagogic model for learning, process‐oriented group supervision as a method of improving doctoral supervision is discussed. In the model used, the supervisors' relationships and the experiences form the basis for reflection process connected to, among others, communication theory and social‐psychological explanatory models. Pointing out the five requirements of trust, theories, tools, training and time, it is concluded that ‘supervision on supervision’ well may serve as a way of improving doctoral supervision.

  • 32.
    Melin Emilsson, Ulla
    et al.
    Lunds universitet, Socialhögskolan.
    Lilje, Bo
    Lunds universitet, LTH.
    Training social competence in engineering education: necessary, possible or not even desirable?: an explorative study from a surveying education programme2008In: European Journal of Engineering Education, ISSN 0304-3797, E-ISSN 1469-5898, Vol. 33, no 3, p. 259-269Article in journal (Refereed)
    Abstract [en]

    The aim of this paper is to discuss whether ‘social competence’ is necessary for engineers to contributeto sustainable development and if it is, how to teach communication, group-processes and leadershipin technical environments like engineering education programmes. The article reflects on a pedagogicalproject carried out in the education of land surveyors in Sweden, aimed to develop and test a pedagogicalmodel for teaching engineering students ‘social competence’. The findings showed that use of theories insocial sciences and group oriented teaching may contribute to training communicative skills. But to includesocial competence in the engineering education it is necessary to start with the teachers’ roles, trainingthem in demonstrating the social dimensions in the professional situations. It also could be of great valueto invite engineers from various workplaces to act like role models within the education programme.

  • 33.
    Melin Emilsson, Ulla
    et al.
    Lund University.
    Ståhl, Agneta
    Lund University.
    Good personal finances or a strong social capital : on different life conditions of importance for an active life when becoming alone in old age: Gott om pengar eller ett starkt socialt kapital? Om skillnader i livsvillkor för män och kvinnor som blir ensamma på äldre dar2016In: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664, Vol. 19, no 5, p. 749-763Article in journal (Refereed)
    Abstract [en]

    Becoming alone in old age can be a decisive life event that brings major changes depending on various causes as health status, financial resources, family situation, and available welfare services. This article discusses the situation of older people in Sweden who have transitioned from a two-person to single-person household in recent years and what impact this might have on their everyday lives. Through in-depth interviews with 18 older people, age 67–90, their experiences about life conditions and opportunities were examined. Findings showed large differences between the men and women. They all tried to live as they always had done and they used the same personal life strategies that they always had. But the men could live as before on their own financial merits, while the women needed assistance from children, grandchildren and the welfare system. Transportation options were central and clearly related to both private economy and social services available. Shortcomings in the welfare state's way of caring for the elderly were clearly uncovered. The gap between social policy promises of opportunities for autonomy and independence to live an active life in old age and the everyday reality for older people still seems to be wide.

  • 34.
    Melin Emilsson, Ulla
    et al.
    Linnaeus University, Faculty of Social Sciences, Department of Social Work. Lund University.
    Ståhl, Agneta
    Lund University.
    Through good personal finances or a strong social capital older people carry on as they always have done: a study on different life conditions of importance for an active life when becoming alone in old age2014Manuscript (preprint) (Other academic)
  • 35.
    Rahm Hallberg, Ingalill
    et al.
    Lunds universitet.
    Melin Emilsson, Ulla
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Social Work. Lund University, School of Social Work.
    Karlsson, Staffan
    Lunds universitet.
    Lethin, Connie
    Lunds universitet.
    Best pracitce in Sweden aimed at people with dementia2012Report (Other academic)
  • 36.
    Ritenius Manjer, Åsa
    et al.
    Lund University.
    Melin Emilsson, Ulla
    Lund University.
    Zackrission, Sofia
    Lund University.
    Non-attendance in mammography screening and women’s social network: A cohort study on the influence of family composition, social support, attitudes and cancer in close relations.2015In: World Journal of Surgical Oncology, ISSN 1477-7819, E-ISSN 1477-7819, Vol. 13, p. 211-217, article id 211Article in journal (Refereed)
    Abstract [en]

    Background

    Mammography screening can reduce breast cancer mortality. The aim of the present study was to investigate non-attendance in mammography screening in relation to different aspects of a women’s social network, attitudes and cancer in close relations.

    Methods

    Data from the Malmö Diet and Cancer Study baseline examination in 1991–1996 was used. A re-examination began in 2007, and 1452 women participated. Family composition, social support, sense of belonging, attitudes on screening and breast cancer risk and on previous cancer in close relations were investigated in relation to self-reported participation in mammography screening using logistic regression analysis, yielding odds ratios with 95 % confidence intervals.

    Results

    Both attendees (98.0 %) and non-attendees (95.2 %) considered mammography screening important. Non-attendance in mammography screening was associated with being unmarried vs. married (2.40:1.30–4.45) and with not having vs. having children (1.77:1.08–2.92). Non-attendees planned to abstain from mammography screening in the future more often than attendees (4.78:2.56–8.90), and they had often abstained from cervical cancer screening (1.69:1.04–2.75). No other statistically significant association was found.

    Conclusions

    This study indicates that family composition, but not necessarily the presence or absence of social support, perceived cancer risk or cancer in close relations, may affect non-attendance in mammography screening. A positive attitude towards mammography screening was found among both attendees and non-attendees, although the latter group planned to a lesser degree to attend mammography screening in the future.

  • 37.
    Ritenius Manjer, Åsa
    et al.
    Lund University.
    Melin Emilsson, Ulla
    Linnaeus University, Faculty of Social Sciences, Department of Social Work. Lund University.
    Zackrisson, Sophia
    Lund University.
    Non-attendance in mammography screening and women's social network: A cohort study on the influence of family composition, social support, attitudes and cancer in close relations2014Manuscript (preprint) (Other academic)
  • 38.
    Ritenius Manjer, Åsa
    et al.
    Lunds universitet, Socialhögskolan.
    Zackrisson, Sophia
    Lunds universitet, Medicinska fakulteten.
    Melin Emilsson, Ulla
    Lunds universitet, Socialhögskolan.
    Kvinnors val kring mammografiscreening: Ett exempel på non-take-up i den svenska välfärdsmodellen.2008In: Socionomens forskningssupplement, Vol. 6, p. 24-34Article in journal (Refereed)
  • 39.
    Ritenius Manjer, Åsa
    et al.
    Lund University.
    Zackrisson, Sophia
    Lund University.
    Melin Emilsson, Ulla
    Lund University.
    On Women’s Ambivalence about Mammography Screening: Support in the Decision-Making Process a Potential Role for Health Care Social Workers?2016In: British Journal of Social Work, ISSN 0045-3102, E-ISSN 1468-263X, Vol. 46, no 2, p. 480-497Article in journal (Refereed)
    Abstract [en]

    The aim of this article is to reach a deeper understanding of women's decision-making process regarding non-attendance at mammography screenings. The article also discusses the health care social workers' role in providing support to women during this decision. Eighteen qualitative semi-structured interviews were conducted with women who had abstained from mammography screening in Malmö, Sweden. Thematic analyses were used as a method and The Rational Choice Theory, The Health Belief Model and the notion of Cross-Pressure were used as a theoretical framework. A prominent feature was that the relationship between the women's decision to abstain and the normative perception that mammography is an important examination led to ambivalent thoughts. It can be seen as an adjustment to the structure to be invited and a cross-pressure between performed and expected actions. Moreover, the decision to abstain from mammography screening was preceded by thoughts about the right choice, specifically in relation to what would happen to these women if they got breast cancer. Women who abstain need to think about their decision to a larger extent than women who attend the screening and we argue that they should be offered support by health care social workers in the invitation letter to mammography screening.

  • 40.
    Stjernborg, Vanessa
    et al.
    Lund University.
    Melin Emilsson, Ulla
    Lund University, School of Social Work.
    Ståhl, Agneta
    Lund University.
    Changes in outdoor mobility when becoming alone in the household in old age2013In: Journal of Transport and Health, ISSN 2214-1405, Vol. 1, no 1, p. 9-16Article in journal (Refereed)
    Abstract [en]

    The aim of this article is to analyze reported changes in outdoor mobility, increased/unchanged/decreased, for a sample of older people (>62 years) in two regions in Sweden, who have transitioned from a two-person to a single-person household during the two years since the study was conducted. The target group (N=162) consists of all people who had transitioned to a single-person household in a random sample of 2033 people. The predominant results reveal that the stressful life event of transitioning into a single-person household in old age means reduced outdoor mobility for certain sub-groups. All modes of transport are used similarly regardless of reported changes in mobility (except for walking). Our results suggest that society must put more effort into offering good walking conditions, since (a) walking seems to be the most important mode of transport for outdoor mobility and (b) walking is valuated almost as high as car after becoming alone in the household regardless if the population in our study reported unchanged, decreased or increased mobility. Further, illuminating another result, namely that special transport service 3 (STS) came out as especially important for people with increased activity, society also needs to invest in the provision of STS to keep the most vulnerable group of people mobile when other modes of transport are no longer a reality.

  • 41.
    Söderberg, Maria
    et al.
    Lund University.
    Ståhl, Agneta
    Lund University.
    Melin Emilsson, Ulla
    Lund University, School of Social Work.
    Family members' strategies when their elderly relatives consider relocation to a residential home: Adapting, representing and avoiding2012In: Journal of Aging Studies, ISSN 0890-4065, E-ISSN 1879-193X, Vol. 26, no 4, p. 495-503Article in journal (Refereed)
    Abstract [en]

    The aim of this article is to reveal how family members act, react and reason when their elderly relative considers relocation to a residential home. Since family members are usually involved in the logistics of their elderly relative's relocation, yet simultaneously expected not to influence the decision, the focus is on how family members experience participation in the relocation process in a Swedish context. 17 family members are included in 27 open, semi-structured interviews and follow-up contacts. Prominent features in the findings are firstly the family members' ambition to tone down their personal opinions, even though in their minds their personal preferences are clear, and secondly, the family members' ambivalence about continuity and change in their everyday lives. Family members are found to apply the adapting, the representing, or theavoiding strategy, indirectly also influencing their interaction with the care manager. Siblings applied the adapting strategy, spouses the representing strategy, while family members in the younger generation at times switched between the strategies.

  • 42.
    Söderberg, Maria
    et al.
    Lund University.
    Ståhl, Agneta
    Lund University.
    Melin Emilsson, Ulla
    Lund University.
    How the Care Managers Handle the Process when Older People Consider Relocation to a Residential Home2014In: British Journal of Social Work, ISSN 0045-3102, E-ISSN 1468-263X, Vol. 45, no 8, p. 2423-2440Article in journal (Refereed)
    Abstract [en]

    The aim of this article is to reveal how care managers handle the process when older people consider relocation to a residential home in a Swedish context. The article is based on vignette-based interviews with seven care managers. The main findings in the article are that the care managers assist older people in their decisions by turning ageing in place and relocation, respectively, into seemingly natural choices. In both approaches, they use warrants related partly to ‘the best for older people’, partly to ‘the common good of economizing’. The conclusions drawn are that the care managers, by applying risk management and extensive alliance strategies, are not really able to question their own work situation and that they perform their work in a context of different parties restraining themselves. The implications for social work policy and practice are that the approach referring to older people's self-determination while actually dealing in risk assessment must be thoroughly reconsidered. Other practical implications are that the idea of the purchaser/provider model must be clarified, beyond the assessment of resources.

  • 43.
    Söderberg, Maria
    et al.
    Lund University.
    Ståhl, Agneta
    Lund University.
    Melin Emilsson, Ulla
    Lund University.
    Independence as a stigmatizing value for older people considering relocation to a residential home: [ Självständighet som en stigmatiserande värdering för gamla människor som överväger att flytta till ett särskilt boende ]2013In: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664, Vol. 16, no 3, p. 391-406Article in journal (Refereed)
    Abstract [en]

    Based on older people's perspectives, the aim of this article is to reveal how the culture of independence influences the decision-making process preceding relocation to a residential home. Since there is a predominant ideology of ageing in place in Sweden like in many other welfare states, the focus is on how a continued life in ordinary housing is justified versus how relocation to a residential home is excused. Twenty-one older people have been included in open semi-structured interviews and in follow-up contacts. The findings show that the value of independence, originally intended to protect the position of older people, in practice led to stigmatizing processes. In order to bridge the gap between values and declining capacities, expectations and actions, older people develop individual-oriented, family-oriented, and public-oriented justifications and excuses, so-called ‘accounts.’

  • 44.
    Söderberg, Maria
    et al.
    Lund University.
    Ståhl, Agneta
    Lund University.
    Melin Emilsson, Ulla
    Lund University.
    Stratified structural and epistemic aspects of the care managers’ discretion -: A theoretical approach to the complex process related to older people’s relocation to a residential home2015In: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664, Vol. 18, no 3, p. 325-339Article in journal (Refereed)
    Abstract [en]

    By applying a theoretical point of departure, the overarching aim of this article is to describe, analyze, and try to understand why care managers in their everyday occupational practice normalize the restrictive approach when older people consider relocation to a residential home. While earlier research to a large extent has drawn attention to how the care managers carry out the restrictive approach, this article pays attention to the circumstances paving its way. The focus is on influences from different sociological levels, thereby ‘stratified’, and from two aspects of discretion, where ‘structural aspects’ refer to choices between permitted alternatives and ‘epistemic aspects’ to practical reasoning under conditions of indeterminacy. With this combination, a multitude of circumstances contributing to the restrictive approach is revealed. Thus, the theoretical model includes levels as well as discretionary powers where formulas constitute the foundation at each level, subsequently related to multidisciplinary references in order to get the practice into perspective. The findings show that the priority given to home-based care in contrast to residential care is repeated and confirmed at each level and besides in an interchange between structural and epistemic aspects.

    Det övergripande syftet med artikeln är att med hjälp av en teoretisk utgångspunkt beskriva, analysera och försöka förstå varför biståndshandläggarna i sin dagliga yrkesutövning normaliserar en restriktiv hållning när äldre personer överväger en flytt till ett särskilt boende. Medan tidigare forskning i stor utsträckning har uppmärksammat på vilket sätt biståndshandläggarna tillämpar en restriktiv hållning, uppmärksammar den här artikeln omständigheter som möjliggör den. Fokus är på influenser från olika sociologiska nivåer, därigenom ‘stratifierade’, och från två aspekter av hur biståndshandläggarna går tillväga, där ‘strukturella aspekter’ avser val mellan tillåtna alternativ och ‘epistemiska aspekter’ ett praktiskt resonerande under betingelser av obestämdhet. Med denna kombination framträder ett flertal omständigheter som bidrar till den restriktiva hållningen. Därmed inkluderar den teoretiska modellen såväl nivåer som aspekter av biståndshandläggarnas handlingsutrymme och resonemang med formler som utgångspunkter på varje nivå, vilka i ett nästa steg relaterats till flervetenskapliga referenser för att ge praktiken perspektiv. Resultatet visar att den prioritet som ges den hembaserade omsorgen i motsats till omsorgen på särskilda boenden upprepas och bekräftas på varje nivå och dessutom i en växelverkan mellan strukturella och epistemiska aspekter.

  • 45.
    Wikström, Eva
    et al.
    Linnaeus University, Faculty of Social Sciences, Department of Social Work.
    Melin Emilsson, Ulla
    Linnaeus University, Faculty of Social Sciences, Department of Social Work.
    Autonomy and control in everyday life in care of older people in nursing homes2014In: Journal of Housing for the Elderly, ISSN 0276-3893, E-ISSN 1540-353X, Vol. 28, no 1, p. 41-62Article in journal (Refereed)
    Abstract [en]

    Self-control and autonomy are not guaranteed when people age and are in need of help from others, especially in institution-based housing. This occurs despite the fact that it is a generally accepted belief that care should be delivered with the greatest possible degree of independence and autonomy. This article discusses older people's experiences with and the opportunities for autonomy in institution-based housing. Through focus group interviews and observations, the daily lives of residents at two nursing homes in Sweden were studied through a comparative approach using the theoretical framework of organizational culture. Three themes emerged showing how autonomy was not a reality for the residents. The first theme revealed an ambivalent mission, indicating ambiguity as to whether the nursing home was a place to live in or a place in which to be cared for. The second theme was symbolic power, which encompassed the staff's power embedded in the organization. The third theme was the ageist approach to care, which was noted in the way staff considered the residents to be old people who were unable and unwilling to strive for autonomy. The three themes were embedded in the organizational culture and were created and recreated in the interaction between residents and staff. A key question for further research is how to change the culture to strengthen the residents’ autonomy.

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